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Eczema,Allergies andDay-to-Day Care
Eczema
What is Eczema?
Dry, itchy skin condition
Commonly affects children
Link with asthma and hayfever
Can be mild, moderate or severe
What Does It Look Like? Red
Dry
Patches, especially folds of elbows and knees
What Does it Feel Like?
Itchy!!
Can be sore
Can disturb sleep
How Can We Treat It?
Emollients (thick moisturisers) To skin In the bath Instead of soap
Steroid cream For flare ups
“Sedating” anti-histamines Useful for bedtime, aids sleep
Wet Wraps Comfortable bandages for severe eczema
Emollients
The cornerstone of eczema management
Lock moisture in – they do NOT replace it
Use often (several times a day) and copiously, all over. You cannot “overdose”! Any time the skin looks dry or is becoming itchy
Apply gently, quickly, down the direction of hair growth
Bath Emollients
Liquid to add to bath Turns water “milky”
Soak for 10-15mins – warm NOT hot water
Use emollient cream if “soap” needed
Towel down – pat don’t rub
Lots of emollients whilst skin still slightly damp
Steroid Creams
For flare ups Only to the areas that are red and sore
Thinly, sparingly
Lots of worry about “dangers” BUT rare to get side effects unless used
inappropriately for long periods of time
Wet Wraps
Not at all common
Applied over emollients One wet layer (soaked in cool water +/-bath
emollient) Cover with dry layer
The kids or experienced volunteers will teach you how!
General Care
Make sure they’ve got their emollient with them
Apply at first sign of itchiness
DON’T SAY “DON’T SCRATCH” please!! Gentle distraction e.g. game, or help them
apply more emollient
Emollient prior to swimming Rinse in shower soon after, and more emollient!
Allergies &
Anaphylaxis
DON’T PANIC!
Allergy = body’s protest against something it doesn’t like
Anaphylaxis = the most panicked about The LEAST likely to happen
Mild allergic reactions more common
May be known triggers – be AWARE of your children’s allergies
Common Triggers
Bee/wasp stings
Latex
Peanuts, Shellfish, other foodstuffs
Medications
Mild Reactions
Itching / mild rash
Tingling
Stomach ache
PIRITON +/- Blue inhaler if needed Then observe
More Severe Reactions
Difficulty breathing / wheezing
Swelling (oedema) especially of lips, mouth
Severe rash – “hives”/ “nettle rash”
Itching of tongue, palate
Palpitations
Diarrhoea, vomiting
Feeling faint/dizzy
Managing Severe Reactions Do It If In Doubt
999
Epipen if severe symptoms present
Piriton
Blue inhaler if needed
Repeat epipen after 5 mins if not improving
SHARPS! (Swanky new epipen containers take care of this for you)
Playtime!
Play with the dummy epipens
Ask questions
Feel confident/comfortable about it all!
Day-to-Day Care
In Loco Parentis
All the usual stuff – washing, dressing, teeth, toileting Bathroom queues, negotiations, bribing…(!!)
Bedroom Medication Ticksheets Your guide for helping them with meds Must be ticked off each day, am & pm Note peak flow (if child does this) & use of blue
inhaler Please tell a health pro if peak flow is dropping
Ask if you don’t know
Have Fun!